老年人的感染控制问题
Infection control issues in older adults.
作者信息
Mody Lona
机构信息
Division of Geriatric Medicine, University of Michigan Medical School, Geriatrics Research, Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, 11-G GRECC, AAVAMC, 2215 Fuller Drive, Ann Arbor, MI 48105, USA.
出版信息
Clin Geriatr Med. 2007 Aug;23(3):499-514, vi. doi: 10.1016/j.cger.2007.02.001.
Abstract
Older adults receive care from various settings, including acute care hospitals, skilled nursing facilities, nursing homes, group homes, outpatient primary care, specialty clinics, and home. In these various settings, older adults are exposed to pathogens, which makes them "vectors" that transport pathogens from one setting to another and makes them vulnerable to care fragmentation. These health care settings face unique challenges that require individualized infection control programs. Infection control programs should address: surveillance for infections and antimicrobial resistance, outbreak investigation and a control plan for epidemics, isolation precautions, hand hygiene, staff education, and employee and resident health programs.
摘要
老年人在多种环境中接受护理，包括急症护理医院、专业护理机构、疗养院、集体之家、门诊初级护理、专科诊所和家中。在这些不同的环境中，老年人接触到病原体，这使他们成为将病原体从一个环境传播到另一个环境的“载体”，并使他们容易受到护理碎片化的影响。这些医疗保健环境面临着独特的挑战，需要个性化的感染控制计划。感染控制计划应包括：感染和抗菌药物耐药性监测、疫情调查和疫情控制计划、隔离预防措施、手部卫生、员工教育以及员工和居民健康计划。
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本文引用的文献
1
Impact of the 2004-2005 influenza vaccine shortage on immunization practices in long-term care facilities.
Infect Control Hosp Epidemiol. 2006 Apr;27(4):383-7. doi: 10.1086/503179. Epub 2006 Mar 9.
2
Preventing infections in nursing homes: a survey of infection control practices in southeast Michigan.
Am J Infect Control. 2005 Oct;33(8):489-92. doi: 10.1016/j.ajic.2005.01.011.
3
Standardized infection surveillance in long-term care: interfacility comparisons from a regional cohort of facilities.
Infect Control Hosp Epidemiol. 2005 Mar;26(3):231-8. doi: 10.1086/502532.
4
Cost implications of successful hand hygiene promotion.
Infect Control Hosp Epidemiol. 2004 Mar;25(3):264-6. doi: 10.1086/502389.
5
Safety of patients isolated for infection control.
JAMA. 2003 Oct 8;290(14):1899-905. doi: 10.1001/jama.290.14.1899.
6
SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus.
Infect Control Hosp Epidemiol. 2003 May;24(5):362-86. doi: 10.1086/502213.
7
Introduction of a waterless alcohol-based hand rub in a long-term-care facility.
Infect Control Hosp Epidemiol. 2003 Mar;24(3):165-71. doi: 10.1086/502185.
8
Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs.
J Am Geriatr Soc. 2003 Apr;51(4):549-55. doi: 10.1046/j.1532-5415.2003.51185.x.
9
Risk factors for resistance to antimicrobial agents among nursing home residents.
Am J Epidemiol. 2003 Jan 1;157(1):40-7. doi: 10.1093/aje/kwf173.
10
Nursing home facility risk factors for infection and hospitalization: importance of registered nurse turnover, administration, and social factors.
J Am Geriatr Soc. 2002 Dec;50(12):1987-95. doi: 10.1046/j.1532-5415.2002.50610.x.
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